Posted:1 week ago|
Platform:
On-site
Full Time
Med Karma is a premier international medical billing company headquartered in the United States. We specialize in delivering end-to-end revenue cycle management solutions for healthcare providers, with a focus on accuracy, compliance, and operational efficiency. With a global footprint and a commitment to excellence, Med Karma supports medical practices, hospitals, and healthcare organizations in maximizing revenue and improving patient outcomes. Our team is driven by innovation, integrity, and a deep understanding of the ever-evolving healthcare landscape. Join us and be part of a company that’s redefining medical billing through expertise and personalized service. Website: www.medkarmarcm.com Role Description: We are looking for candidates with relevant experience in California Workers’ Compensation billing and revenue cycle processes. Location: Mohali and Noida Key Responsibilities: Billing & Claims Management Accurately review and process WC claims in accordance with California DWC rules, including submission through designated clearinghouses and EDI systems. Collections & Follow-up Monitor accounts receivable aging for WC claims and conduct thorough follow-ups on delayed or underpaid claims. Contact claims adjusters, third-party administrators (TPAs), and WC insurers to resolve discrepancies. Maintain documentation of all follow-up actions and communications within the practice management system (PMS) or EMR. Denial & Appeal Management Investigate and appeal denied WC claims, preparing persuasive reconsideration letters or documentation per DWC guidelines. Submit timely Second Bill Review (SBR) requests and initiate Independent Bill Review (IBR) cases when applicable. Track deadlines for appeals and dispute resolution to prevent write-offs. Compliance & Documentation Stay current on California WC laws, regulatory changes, and DWC billing rules. Ensure all billing activities are HIPAA-compliant and follow WCAB lien rules. Prepare and file liens through EAMS (Electronic Adjudication Management System) as necessary. Reporting & Collaboration Generate weekly and monthly performance reports related to WC billing KPIs. Participate in audits and provide supporting documentation for compliance reviews. Skills Required: 3+ years of experience in California Workers’ Compensation billing and collections Strong understanding of California DWC regulations , OMFS , IBR/SBR , and lien processes Proficiency in EDI submission platforms (e.g., Jopari, WorkCompEDI) Familiarity with WCAB, EAMS, and other state systems Preferred: Prior experience in orthopedics, pain management, or physical therapy billing Experience using practice management and EMR software Key Competencies: Exceptional attention to detail and organizational skills Strong written and verbal communication Analytical and investigative skills for resolving complex billing issues Ability to work independently and manage a high volume of claims Team-oriented mindset with a commitment to excellent service Why work with us? • Multicultural environment to explore, learn and grow. • Best remuneration, Incentives and bonuses, free Cab and Food facilities. • Wide range of training and certifications available for career development. ⬛ How to Apply : DM your resumes, contact at 7087871901 or email at hr@medkarmarcm.com Show more Show less
Med Karma
Upload Resume
Drag or click to upload
Your data is secure with us, protected by advanced encryption.
My Connections Med Karma
Noida, Uttar Pradesh, India
Salary: Not disclosed
Noida, Uttar Pradesh, India
Salary: Not disclosed